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Part 4: A-Z Index (GDA17)

The index is provided to enable easy reference to the General Retention and Disposal Authority - Public Health Organisations: Patient/Client Records.

References

The index provides the reference number for either a specific entry or a section. Where the reference is to a section the index term may appear in several entries within that section.

The index also includes cross references where appropriate.

A | B | C | D | E | F | G | H | I | L | M | N | O | P | Q | R | S | T | V | W | X 

A

Abuse 1.2.0
see also Physical Abuse or Neglect of Children (PANOC) Specialist Services

Accountable items (surgical procedures) 1.18.1

Accounts and finances (patient/client) 7.2.0

Acute hospital care 1.1.0

Addictive drugs 5.1.0

Admission
lists 2.2.1
recommendation forms
     non-attendance 2.2.6
registers 2.1.4 see also Electronic patient administration systems
statistics 2.4.0

Admitted patients see Patients

Adoptions
social work records 1.4.2

Affidavits
copied records 9.1.4

Anatomical pathology
diagnostic results and reports
     patient record copy 1.0.0, 4.2.7
     diagnostic service copy 4.2.1
specimens or samples 4.3.0

Applications
PADP aids, appliances and services 7.3.1
Therapeutic Drugs Administration application forms 5.1.7
to prescribe drugs of addiction 5.1.8

Appointment books 2.3.0

Appointment registers 2.3.0

ART see Assisted Reproductive Technology (ART)

Artificial insemination 1.7.0

Assault
sexual assault patients 1.8.1
statistics 2.4.0

Assigned benefits claim book 7.2.1

Assignment forms (HC21) 7.2.2

Assisted reproductive technology (ART) 1.7.0

Attendance books 2.2.3

Audits
clerical audit reports 2.2.5
clinical 1.15.1
pathology and laboratory services 4.6.1

Autopsy
diagnostic results and reports
     patient record copy 1.0.0, 4.2.7
     diagnostic service copy 4.2.1
registers 4.2.1

B

Baby health
registers 2.1.9
screening see Health care screening

Bed returns 2.4.1

Births
adoptions 1.4.2
Assisted Reproductive Technology (ART) 1.7.0
neonatal screening (Guthrie) cards 4.2.6
obstetric/maternal health care 1.4.0
registers 2.1.5
registration forms 6.1.1

Blood alcohol reports 4.2.3

Blood bank and blood collection services 4.4.0

Blood donations
diagnostic results and reports 4.4.1
donor statements 4.4.4
laboratory records 4.4.2

Blood products
laboratory records 4.4.2
registers 4.4.3

Bodily specimens and samples 4.3.0

Bone marrow
diagnostic results and reports
     patient record copy 1.0.0, 4.2.7
     diagnostic service copy 4.2.2

Brain injury statistics 2.4.0

Buprenorphrine Program records 5.1.8

C

Cancer
notifications 6.2.0
radiotherapy treatment 1.10.0

Card register 2.1.1

Cardiotocograms
abnormality detected 3.3.2
no abnormality detected 3.3.3

Casualty
patient records 1.1.3
registers 2.1.7

Censuses 2.4.0

Certificates
death 6.1.2
medical 1.16.1

Certification
Pathology and laboratory services 4.6.1

Chemical pathology
diagnostic results and reports
     patient record copy 1.0.0, 4.2.7
     diagnostic service copy 4.2.4

Child health care screening see Health care screening

Claims
Assigned Benefits Claim books 7.2.1
litigation 1.14.0
Private patient claim forms (HC21) 7.2.2

Clerical audit reports 2.2.5

Clients see Patients

Clinical chemistry
diagnostic results and reports
     patient record copy 1.0.0, 4.2.7
     diagnostic service copy 4.2.4

Clinical lists 2.2.3

Clinical research 8.0.0

Community health care 1.2.0

Community health registers 2.1.9

Complaints 1.14.0

Confinement books 2.1.5

Consent
blood donors 4.4.4
patient treatment and care 1.0.0
research participants 8.1.0
retained human tissue 4.3.5
school dental risk assessment 1.3.2
semen donors 1.7.0, 4.5.1
Special Access Scheme (SAS) drugs 5.1.6

Control records
blood products 4.4.3
diagnostic imaging services 3.4.1
patient property 7.1.0
patient records 2.1.0
pharmaceutical stock and inventory 5.1.4
specimens and samples 4.3.2

Correspondence 1.13.0
logs 1.13.2
registers 1.13.2

Criminal histories 1.2.8

Crown operated hospitals (psychiatric) 1.5.1

Cytology
diagnostic results and reports
     patient record copy 1.0.0, 4.2.7
     diagnostic service copy 4.2.1

D

Data collection
Health Information Exchange (HIE) 2.7.1
patient admissions and transfers 2.4.0
returns and forms 2.4.0
statistical returns 2.4.0

Death see also Autopsy
certificates 6.1.2
lists 2.2.1
registers 2.1.6

Deceased patients see also Autopsy
hospitals 1.1.0
community health care 1.2.1
Dead on Arrival (DOA) 1.1.3
psychiatric and mental health care 1.5.0

Dental health care 1.3.0

Developmental disorders 1.2.0

Diagnostic reports
imaging services
     patient record copy 1.0.0, 3.2.1
     diagnostic service copy 3.2.2
pathology and laboratory services
     patient record copy 1.0.0, 4.2.7
     diagnostic service copy 4.2.0

Diagnostic requests
imaging services
     patient record copy 1.0.0
     diagnostic service copy 3.1.1
pathology and laboratory services
     patient record copy 1.0.0
     diagnostic service copy 4.1.1

Diagnostic services
imaging services 3.0.0
pathology and laboratory services 4.0.0

Diaries 2.3.0

Discharges
lists 2.2.1
registers 2.1.4 see also Electronic patient administration systems
statistics 2.4.0
treatment and care 1.0.0

Discovery orders 1.14.0

Disease and operation index 2.1.2

Donors
Assisted Reproductive Technology (ART) 1.7.0
blood bank and blood collection services 4.4.0
semen supply 4.5.1

Drugs
addictive 5.1.0
dispensing 5.1.0
highly specialised 5.1.5
medication charts 1.0.0, 5.1.2
pharmaceutical supply and administration 5.0.0
rapid tranquillisation journals 2.1.12
registers 5.1.3
reports
     incidents 1.0.0, 5.1.2
     lost or stolen drugs or drug registers 5.1.9
section 100 5.1.5
sedation registers 2.1.12
therapeutic drugs administration
     application forms 5.1.7

Duplicate records
imaged records 9.0.0
patient registration and index records 2.1.13
surgical procedures (accountable items) 1.18.1

E

EDIS see Emergency Department Information System (EDIS)

Election forms (patient accounts and finances) 7.2.2

Electro Convulsive Therapy (ECT) register 2.1.12

Electrocardiograms
abnormality detected 3.3.2
no abnormality detected 3.3.3

Electroencephalgrams
abnormality detected 3.3.2
no abnormality detected 3.3.3

Electromyograms
abnormality detected 3.3.2
no abnormality detected 3.3.3

Electronic health records 1.11.0

Electronic patient administration systems 2.6.1

Emergency Department Information System (EDIS) 1.1.3

Emergency patients
hospital care 1.1.3
registers 2.1.7 see also Electronic patient administration systems
Equipment
appliances for disabled people 7.3.2
sterilisation (instruments) 1.17.0
maintenance (diagnostic services) 4.7.1

F

5th Schedule hospitals (psychiatric) 1.5.1

Family disharmony 1.2.0

Films (diagnostic recordings) 3.3.1

Finances and accounts (patient/client) 7.2.0

G

Gamete intrafallopian transfer (GIFT) 1.7.0

Genetic or inherited disorders
patient/client diagnosis and management 1.6.0
pathology and laboratory services 4.2.5

GIFT see Gamete intrafallopian transfer (GIFT)

Graphical recordings (diagnostic services)
abnormality detected 3.3.2
no abnormality detected 3.3.3

Guthrie cards 4.2.6

H

Haematology
diagnostic results and reports
     patient record copy 1.0.0, 4.2.7
     diagnostic service copy 4.2.4

Health care screening
baby (community health care)
     abnormality detected 1.2.5
     no abnormality detected 1.2.4
     with possible legal implications 1.2.5
child (community health care)
     abnormality detected 1.2.5
     no abnormality detected 1.2.4
     with possible legal implications 1.2.5

neonatal screening (Guthrie) cards 4.2.6
school (community health care)
     abnormality detected 1.2.7
     no abnormality detected 1.2.6
     with possible legal implications 1.2.7

Health Information Exchange (HIE) 2.7.1

Health reporting
admitted patient statistics 2.4.0
data collection returns and forms 2.4.0
notifiable diseases 6.2.0

HIE see Health Information Exchange (HIE)

Highly specialised (Section 100) drugs 5.1.5

Histopathology
diagnostic results and reports
     patient record copy 1.0.0, 4.2.7
     diagnostic service copy 4.2.2

Hospices 1.1.0

Hospital care 1.1.0
Group A hospitals 1.1.1
Groups B-F hospitals 1.1.2

Human tissue (retention of) 4.3.5

I

Imaged records 9.0.0

Image recordings (diagnostic) 3.3.1

Imaging services (diagnostic) 3.0.0

Immunisation (community health care)
adverse or other reaction 1.2.3
no adverse or other reaction 1.2.2

Immunology
diagnostic results and reports
     patient record copy 1.0.0, 4.2.7
     diagnostic service copy 4.2.4

Implants see Surgically implanted devices

In Vitro Fertilisation (IVF) 1.7.0

Incidents
drug incident reports 1.0.0, 5.1.2
investigations 1.14.0
legal matters 1.14.0
management 1.14.0
reports or notifications 1.0.0, 1.14.0, 5.1.2

Indexes
Disease and operation 2.1.2
Patient Master Index (PMI) 2.1.1
Physicians 2.1.3

Inherited disorders
patient/client diagnosis and management 1.6.0
pathology and laboratory services 4.2.5

In-patients see Patients

Instruments (sterilisation) 1.17.0

Inventory control records (pharmaceuticals) 5.1.4

IVF see In Vitro Fertilisation (IVF)

L

Labour ward registers 2.1.5

Laboratory services (diagnostic)
blood bank and blood collection services 4.4.0
equipment maintenance 4.7.1
methods 4.8.1
procedures 4.8.1
quality assurance 4.6.1
requests 4.1.1
reports 4.2.0
results 4.2.0
semen supply 4.5.0
specimens and samples 4.3.0

Legal matters 1.14.0

Letters see Correspondence

Lists and schedules 2.2.0

Litigation 1.14.0

Log books
correspondence 1.13.2
sterilisation 1.17.2

Lost or stolen drugs or drug registers 5.1.9

M

Magistrates Early Referral Into Treatment (MERIT) Program 1.2.8

Magnetic Resonance Imaging (MRI) 3.0.0

Maintenance
appliances for disabled people 7.3.2
diagnostic equipment 4.7.1

Master copies (imaged records) 9.1.2

Maternal health care 1.4.0

Medical certificates 1.16.1

Medical practitioner declarations (blood alcohol) 4.2.3

Medication charts 1.0.0, 5.1.2

Mental health care
patient/client treatment and care 1.5.0
pre 1960 patient records 1.5.1
registers 2.1.12

MERIT see Magistrates Early Referral Into Treatment (MERIT) Program

Methadone program records 5.1.8

Methods
Pathology and laboratory services 4.8.1

Microbiology
diagnostic results and reports
     patient record copy 1.0.0, 4.2.7
     diagnostic service copy, 4.2.4

Midwife data collection 2.4.0

Money and valuables register 7.1.0

MRI see Magnetic Resonance Imaging (MRI)

Multi purpose services 1.1.0

N

Neonatal screening (Guthrie) cards 4.2.6

Non-clinical research 8.0.0

Notifiable diseases
treatment and care 1.0.0
health reporting 6.2.0
Public Health Unit records 6.2.0

Notifications 6.0.0

Number register 2.1.1

Nursing homes 1.1.0

O

Obstetric health care 1.4.0

Operation
index 2.1.2
lists 2.2.2
register 2.1.8
schedules 2.2.2

Oral (dental) health care 1.3.0

Out-patients see also Patients
lists 2.2.3
attendance books 2.2.3

P

PADP services see Program of Appliances for Disabled People (PADP)

Paediatric Specialist hospitals 1.1.0

PANOC Specialist Services see Physical Abuse and Neglect of Children Specialist Services

PAS see Electronic patient administration systems

Pathology and laboratory services 4.0.0

Patient Administration Systems (PAS) see Electronic patient administration systems

Patient Master Index (PMI) 2.1.1

Patients
accounts and finances 7.2.0
administration 2.0.0
assisted reproductive technology 1.7.0
claims (accounts and finances) 7.2.0
community health care 1.2.0
dental/oral health care 1.3.0
election forms (accounts and finances) 7.2.2
electronic health records 1.11.0
finance and property management 7.0.0
genetic or inherited disorders 1.6.0
hospital care 1.1.0
money and valuables register 7.1.0
mental health care 1.5.0
     pre 1960 records 1.5.1
obstetric/maternal health care 1.4.0
PANOC Specialist Services 1.9.1
pre 1930 records 10.1.0
pre 1960 psychiatric and mental healthcare records 1.5.1
property 7.1.0
property and wearing apparel books 7.1.1
psychiatric care 1.5.0
     pre 1960 records 1.5.1
radiotherapy treatment 1.10.0
registration and identification 2.0.0
sexual assault 1.8.1
statistics 2.4.0
transfer lists 2.2.1
treatment and care 1.0.0

Payment authorities 7.1.4

Personal diaries 2.3.0

Pharmaceutical supply and administration 5.0.0

Photographs (diagnostic) 3.3.1

Physical Abuse and Neglect of Children Specialist Services (PANOC) 1.9.1

Physicians index 2.1.3

Pictorial recordings (diagnostic) 3.3.1

PMI see Patient Master Index (PMI)

Post-mortem see Autopsy

Pre 1930 records 10.1.0

Pre 1960 records (Crown operated/5th schedule psychiatric hospitals) 1.5.1

Pregnancy
Assisted Reproductive Technology (ART)1.7.1
obstetric/maternal health care 1.4.0

Principal referral hospitals 1.1.0

Private hospitals/centres/clinics/services
patient records 1.0.0
registers 2.0.0

Private patient claim and assignment forms 7.2.2

Procedures
Pathology and laboratory services 4.8.1

Program of Appliances for Disabled People (PADP) 7.3.0

Property transfer authorities 7.1.4

Prosthesis (surgically implanted) 2.1.11

Psychiatric health care see Mental Health care

Q

Quality assurance
pathology and laboratory services 4.6.1

Quarterly waiting list surveys 2.2.4

R

Radiotherapy treatment 1.10.1

Rapid tranquillisation journals 2.1.12

Recommendation for admission forms 2.2.6

Recordings (diagnostic)
graphical
     abnormality detected 3.3.2
     no abnormality detected 3.3.3
visual 3.3.1

Records imaging 9.0.0

Recruitment
research participants 8.1.0

Registers
admission 2.1.4
appointments 2.3.0
autopsy 4.2.1
baby health 2.1.9
birth 2.1.5
blood products 4.4.3
card 2.1.1
casualty 2.1.7
community health 2.1.9
correspondence 1.13.2
death 2.1.6
diagnostic recordings 3.4.1
discharge 2.1.4
drugs 5.1.3
Electro Convulsive Therapy (ECT) 2.1.12
emergency department 2.1.7
operation 2.1.8
human tissue 4.3.5
labour ward 2.1.5
patient admission and account forms 7.2.3
patient injuries 1.14.6
patient money and valuables 7.1.0
pharmaceutical supply 5.1.3
seclusion 2.1.12
sedation 2.1.12
specimens and samples 4.3.2
sterilisation (instruments) 1.17.2
surgical procedures 2.1.8
surgically implanted devices 2.1.11
theatre 2.1.8
ward 2.1.10

Rehabilitation facilities 1.1.0

Reports
imaging services (diagnostic)
     patient copy 1.0.0, 3.2.1
     diagnostic service copy 3.2.2
pathology/laboratory services (diagnostic)
     blood bank and blood collection services 4.4.1
     patient record copy 4.2.7
     diagnostic service copy 4.2.0

Reproductive medicine
Assisted Reproductive Technology (ART)1.7.0
obstetric/maternal health care 1.4.0

Requests
imaging services (diagnostic)
     patient copy 1.0.0
     diagnostic service copy 3.1.1
pathology/laboratory services (diagnostic)
     patient record copy 1.0.0
     diagnostic service copy 4.1.1
research 8.1.0

Research management 8.0.0

Research projects, trials or studies
clinical 8.1.1
non-clinical 8.1.2

Retained human tissue 4.3.5

Returns (statistical and data collection) 2.4.0

S

Schedules 2.2.0

School dental risk assessment consent forms 1.3.2

School screening see Health care screening

Screening see Health care screening

Seclusion register 2.1.12

Section 100 (highly specialised) drugs 5.1.5

Sedation register 2.1.12

Semen supply 4.5.0

Sexual assault
patients 1.8.1
statistics 2.4.0

Social work records
adoption arrangements 1.5.2

Special Access Scheme (SAS) drugs 5.1.6

Specimens and samples
bodily specimens and samples 4.3.1
registers 4.3.2

Sterilisation
surgical instruments and equipment 1.17.0

Stock control
pharmaceuticals 5.1.0

Studies see Research projects, trials or studies

Subpoenas 1.14.0

Summary data
electronic health records 1.11.0
Health Information Exchange (HIE) 2.7.1
patient/client registration 2.0.0
specimen and samples registers 4.3.0

Supply
pharmaceuticals 5.0.0

Surgically implanted devices 2.1.11

Surgical instruments and equipment 1.17.0

Surgical procedures
accountable items 1.18.1
register 2.1.8

T

Theatre bookings 2.2.2

Theatre lists 2.2.2

Theatre schedules 2.2.2

Therapeutic Drugs Administration application
forms
5.1.7

Transfer lists 2.2.1 see also Electronic patient administration systems

Trials see Research projects, trials or studies

V

Videotapes (diagnostic) 3.3.1

Visual recordings (diagnostic) 3.3.1

W

Waiting lists
clerical audit reports 2.2.5
quarterly surveys 2.2.4

Ward records
drugs register 5.1.3
labour ward register 2.1.5
register 2.1.10
reports etc 2.5.1

X

X-rays 3.3.1
dental 1.3.1